| NPI | 1871049239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHRUT PATEL Manager 757-285-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |